Search › Virginia › 106S00000X
Mallory Black
NPI 1578359212 · on the registry since 2025
Practice
- Address
- 241 Darden Dr
Poquoson, VA 23662 - Phone
- (757) 356-2242
- Fax
- (276) 242-5657
- Organisation at this address
- Good Steward Aba And Consulting Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia